REGISTRATION FORM

“PawPrint” Road Race

February 22, 2003

Register on line at

www.pawprint.8K.com

To Print Form, use your mouse and right click on the form. From the menu choose print.:

Name ___________________________________________

Address_________________________________________

City_________________________State_______Zip______

Age:___________(race day) Male_____Female_______

Phone ( ) _____________

Email: ___________________

Event:

8K Race………………_________

1 Mile Doggie Walk…_________

(Walk with canine)

Fee:

$15.00 8K event w/shirt Mail checks payable to:

$ 10.00 8K event no shirt PawPrint Road Race

$12.00 1M event w/shirt P.O. Box 761

$ 5.00 1M event no shirt Fort Mill, S.C. 29716

$20.00 8K Race Day

(T-Shirts not guaranteed past 2/28/02)

Race Day Registration: 6:45am through 7:30 am

Please Circle:

Type of Shirt: T-Shirt Tank Top

Shirt Size: Sm Med LG XL XXL

^{Waiver:
In consideration of the acceptance of this entry in the 7th}

Annual “PawPrint” Road Race, for myself and my heirs and assigns

^release^{all organizers, volunteers, sponsors, officials,
representatives,}

^their^{agents and employees, and any other organization
assisting}

^or^{putting on the event from any and all claims for
damages or injury}

^incurred^{by me as a result of my participating in or traveling}

^to^{or from this event.
I further state that I am in proper physical}

^condition^{to compete in the 5 mile Race or the 1 Mile walk. I also give}

^permission^{for the free and unrestricted use of my name and
pictures}

ⁱⁿ^{any broadcast, telecast or written account of this
event.}

^{____________________________ ___________ _______________________}

^{(runner’s
signature) (date)
(Parent’s signature if uner 18)}

^{Note: Pet name(s)
can be placed on race shirt for donation of $5.00 per}

^pet^name.

^{Pet name(s)______________________________________________}